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Related Experiment Videos

Endoscopic hemorrhoidal ligation: preliminary clinical experience

E A Trowers1, U Ganga, R Rizk

  • 1Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock 79430, USA.

Gastrointestinal Endoscopy
|July 31, 1998
PubMed
Summary

Endoscopic elastic band ligation effectively treated bleeding internal hemorrhoids in 95% of patients, offering a safe alternative to surgery with minimal complications. This minimally invasive procedure shows promise for managing symptomatic hemorrhoids.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Internal hemorrhoids are a common condition often treated surgically.
  • Endoscopic hemorrhoidal ligation presents a potential minimally invasive alternative.
  • This study evaluates endoscopic elastic band ligation for bleeding internal hemorrhoids.

Purpose of the Study:

  • To assess the safety and efficacy of endoscopic elastic band ligation.
  • To determine the effectiveness in resolving bleeding from internal hemorrhoids.
  • To explore its potential as a treatment option.

Main Methods:

  • Endoscopic hemorrhoid ligation performed on 20 adult patients with chronic rectal bleeding.
  • Utilized a ligating device attached to a video endoscope.
  • Follow-up endoscopy conducted 3 weeks post-procedure.

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Main Results:

  • Ninety-five percent (19/20) of patients showed at least one grade reduction in hemorrhoidal size.
  • Bleeding resolved in 95% (19/20) of patients after a mean follow-up of 5.4 months.
  • Ninety percent (18/20) required only a single banding session, with no major complications.

Conclusions:

  • Endoscopic hemorrhoidal ligation is a safe and effective treatment for internal hemorrhoids.
  • The technique shows promise for successful treatment and potential eradication of symptomatic hemorrhoids.
  • Further research may establish it as a standard minimally invasive option.